African American outpatient adults were less likely to receive guideline-recommended statin therapy compared to white adults, and this was explained by demographic, clinical, socioeconomic, belief-related, and clinician factors. Researchers analyzed data from the 2015 Patients and Provider Assessment of Lipid Management (PALM) Registry to compared statin use and dosing between African American and white outpatient adults who were potentially eligible for primary or secondary prevention statins. 138 US community health care practices contributed to the data. Primary outcomes were use and dosing of statin therapy according to the 2013 American College of Cardiology/American Heart Association guideline by African American and white race. Among the details:
- 5,689 patients (806[14.2%] African American) were eligible for statin therapy.
- African American were less likely that white individuals to be treated with a statin, although this association was no longer significant after adjusting for demographic characteristics, clinical characteristics, socioeconomic status, patient beliefs, and clinician factors.
- African Americans were less likely that white individuals to believe statins were safe or effective.
Nanna MG, Navar AM, Zakroysky P, et al. Association of patient perceptions of cardiovascular risk and beliefs on statin drugs with racial differences in statin use. Insights from the patient and provider assessment of lipid management registry. [Published online ahead of print June 13, 2018]. JAMA Cardiol. doi:10.1001/jamacardio.2018.1511.
This Week's Must Reads
Long-Term LDL-C and CV Mortality Risk, Circulation; ePub 2018 Aug 16; Abdullah, et al
Breastfeeding and Risk of Stroke in Postmenopausal Women, J Am Heart Assoc; ePub 2018 Aug 22; Jacobson, et al
Psychosocial Stressors & AF in Older Women, Am J Cardiol; ePub 2018 Aug 17; Westcott, et al
Does Dietary Diversity Promote a Healthy Weight?, Circulation; ePub 2018 Aug 9; de Oliveira, et al
Dementia Progression in Men and Women with AF, Am J Cardiol; ePub 2018 Aug 3; Golive, et al
Must Reads in Hypercholesterolemia
Racial Differences in Statin Use, JAMA Cardiol; ePub 2018 Jun 13; Nanna, et al
LLT Use in Patients with Elevated LDL-C, Circ Cardiovasc Qual Outcomes; ePub 2018 May 10; Virani, et al
Evolocumab in Differing Patient Populations , J Pharmacokinet Pharmacodyn; ePub 2018 May 7; Kuchimanchi, et al
LDL-C Targets in Elderly Statin Users After ACS, J Am Heart Assoc; ePub 2018 May 12; Alter, et al
Patient Perspectives on Statin Therapy, Clin Cardiol; ePub 2018 May 10; Brinton